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Organization
RIVER'S EDGE WELLNESS PLLC
Active
Organization
RIVER'S EDGE WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA KAY CLARKE LCSW (THERAPIST/OWNER)
(309) 431-1982
Entity
Organization
Contact information
Practice address
540 MILL ST, WARSAW, IL 62379-1731
(309) 431-1982
Mailing address
540 MILL ST, WARSAW, IL 62379-1731
(309) 431-1982
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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